Neurologic symptoms and neuropathologic antibodies in poultry workers exposed to Campylobacter jejuni

J Occup Environ Med. 2007 Jul;49(7):748-55. doi: 10.1097/JOM.0b013e3180d09ec5.

Abstract

Objectives: To examine associations between occupational exposure to live poultry with Campylobacter exposure, Campylobacter-associated neurologic symptoms, and neuropathologic antibodies.

Methods: Questionnaires, serum samples, and stool specimens were collected from 20 poultry workers and 40 community referents. Campylobacter exposure was evaluated by stool culture and serum antibodies; neurologic symptoms were assessed by questionnaire; and neuropathologic antibodies were measured by serum anti-glycolipid antibody concentrations.

Results: Poultry workers had significantly higher anti-Campylobacter immunoglobulin G titers compared with that of referents (P < 0.05); they were significantly more likely to report multiple Campylobacter-associated neurologic symptoms; and male poultry workers had a higher point risk estimate for detectable neuropathologic anti-glycolipid immunoglobulin G titers (P = 0.07) compared with male referents.

Conclusions: These data suggest that poultry workers are at elevated risk of Campylobacter exposure and may be at elevated risk for Campylobacter-associated neurologic sequelae.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Animals
  • Antibodies, Bacterial / analysis
  • Antibodies, Bacterial / blood
  • Antibodies, Bacterial / immunology*
  • Campylobacter Infections / epidemiology
  • Campylobacter Infections / immunology
  • Campylobacter Infections / physiopathology*
  • Campylobacter jejuni / immunology*
  • Campylobacter jejuni / isolation & purification
  • Campylobacter jejuni / pathogenicity
  • Diagnostic Techniques and Procedures
  • Female
  • Humans
  • Male
  • Maryland / epidemiology
  • Middle Aged
  • Neurology*
  • Occupational Exposure*
  • Poultry Diseases
  • Poultry*
  • Surveys and Questionnaires
  • Zoonoses

Substances

  • Antibodies, Bacterial